HomeMy WebLinkAboutUNDERGROUND TANK-C-11/27/89
1 .,
PROVIDE DRlMING Of r~~. LA'íC~T Of t".'\CILITY USE:.i _"::ROV¡DED ßEID~.
1\LL OF THE FOLI.v'"'WING INFORHATICN MUST BE INCLUDED I: ORDER fOR APPLICATION TO EE
PRCCESS~ . '
~ TANK (5), PIPING & DISPENSER (5) , INCLUDU1,; LENGTHS AND DIMENSIONS
~ PROPOSED SAMPLING I..CCATIONS DESIGNAr:-...o BY THIS SYMBOL II ® II
V NEAREST STREET OR INTERSECT I ON
,()7ANY WATER WELLS OR ~,t:RfACE t-JATERS WITHIN 100 I RADIUS OF fACILITY
NORTH ARRr::Jd , .
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&.KERSFIELD FIRE DEPARTMENT
BUREAU OF FIRE PREVENTION
APPLICATION
.
X 1/'1
Application No.
7 - ;Z 7 -8;¿
In conf,ormity wi,th provisions~JFf!inent~r 'nances, codes and/or regulations, apPlicatio. n is made
by: ..L,UJ . .
T05>CQ COR o,K'/9T1'o 51,2/ S7õ¿kO/lLe ð..uy,
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Nome of Company
Address
to display, store, install, use, operate, sell or handle materials or processes involving or creating con-
ditions deemed hazardous to life or property as foHows:
50 :.4t ÐIf;.,5'I:=: L SToIlA6e.. TfttJk. - utJj)ËRG~Ot.{.N Dr
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Date Fire Marshal
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FILE CONTE~TS SUMMARY
FACILITY: -'1ð.~f() CG(f!Jro-J-/{)ìÎ
ADDRESS : 5/cQ / "qM(1 krJo Je fk~r¡
PERMIT #: c1f?'()Oc:<R ENV. SENSITIVITY: N£S
Activity Date # Of Tanks Comments
(]WJ((ltJ!¡O () 9/~{)/f5' / í1J~m/e
d.?()OdR~ 7/1!J1a / V?) O¡;e~ .
O(rlI'fO+l() tÎ /OjIO; t9 / -7?J ab2r:dtJ J?
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GARY J. WICKS
- A'§ency Director -
.. (805) 861-3502
STEVE Mc CALLEY
.' Director
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2700 M Street. Suite 300
Bakersfield. CA 93301
Telephone (805) 861-3636
Telecopier (805) 861.3429
AGE N CY
November 21, 1989
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TOSCO Corporation
P. O. Box 2860
-·Bakersfield, California
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CLOSURE OF 1 UNDERGROUND HAZARDOUS SUBSTANCE STORAGE TANK LOCATED
AT 5121 STOCKDALE HIGHWAY IN BAKERSFIELD, CALIFORNIA.'
PERMIT # A1053-28/280028
~ ~.
This is to advise you that this Department has reviewed the project
results for the preliminary assessment associated with the closure
of the tank noted above.
Based upon the sample results submitted, this Department is
satisfied that the assessment is complete. Based on, current
requirements and policies, no further action is indicated at this
time.
It is important to note that this letter does not relieve you of
further responsibilities mandated under the California Health and
Safety Code and California Water Code if additional or previously
unidentified contamination at the subject site causes or threatens
to cause pollution or nuisance or is found to pose a significant
threat to public health.
Thank you for your cooperation in this matter.
~~~l~Ð-tS
TURONDA R. CRUMPLER, R.E.H.S., HAZARDOUS MATERIALS SPECIALIST
cc: MCNABB CONSTRUCTION COMPANY
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LABORATORIES, INC. ..
. J. J. EGLIN, REG. CHEM. ENGR.
. 4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308 PHONE 327-4911
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ENVIRONMENTAL
.
CHEMICAL ANALYSIS
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PETROLEUM
. . . . .
Petroleum Hydrocarbons
(SOIL)
McNabb Constzuction
7808 Olcott Ave
Bakersfield, CA 93308
Attention: Bryan McNabb
Date of
Report: 02-Nov-89
. '. . Lab~No 8064-1 . '
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DATE SAMPLE .. DATE SAMPLE
'COLLECTED: :,'RECElVED @ LAB:
.12-ûct-8912~t-89
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12-Oct-89' . .' '13-Qct-89 ". -"':,,'C""'"'," '...'. ,..c.. ,c',:",·,'...
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Reporting
Units
Constituent
Benzene
Toluene
Ethyl Benzene
p-Xylene
m-Xylene
o-Xylene
Total Pet.
Hydrocarbons
ug/g
ug/g
ug/g
ug/g
ug/g.
ug,Ig
ug¡g
:;':.-~,~ ">
Analysis
Results
Minim.uo
Reporting
Level
. '-.,.:.
. -.. -, -',.
, ,
none detected
. none detected
none detected
none detected
none detected
c::=~
---------
0.02
0.02
0.02
0.02
0.02
0.02
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10.00
TEST METHOD: '!'PH for Diesel by D.O. H. S. L. U. F . T Manual Method.
(Carbon Disulfide Extraction). Individual constituents by
EPA Method 8020.
As Received Basis
Couments :
TarAL PETROLEUM HYDROCAROONS: QJantification of petroleum
hydrocarbons utilizing a diesel standard as outlined by the
California D.O. H. S. The petroleum hydrocarbons are in addi tiol!
to the consti tu~ts specifically defined.
California D.O.H.S. Cert. #102
By
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Analyst
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ENVIRONMENTAL
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LABORATORIES, INC.
. J. J. EGLIN, REG. CHEM. ENGR. :
4100 PIERCE RD., BAKERSFIELD, CALIFORNIA 93308
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CHEJllCAL ANALYSIS
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PETROLEUM
PHONE 327-4911
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Petroleum Hydrcx::arbons
(SOIL)
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McNabb Construction
7808 Olcott Ave
Bakersfield, CA 93308
Attention: Bryan McNabb
Date of
Report :
02-Nov-89,
.,
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,;ši;i.:',. ::~~jj~~~r::~~t(::t'~~!:~sc:;' ,C'. 5~~~-~tockdaleHwy ..~,Permit #A1053-28
Diesel Tarlk 6'
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Constituent
Reporting
Units
, DATE SAMPLE,,~> DATE ANALYSIS
EXTRACI'ED: '; ~ CCt1PIEl'ED:
12-oct-89 13-oct-89
M:inim.1m
Reporting
Level
Analysis
Results
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,.::~, DATE SAMPLE
COLLECI'ED :
12-Qct-89
DATE SAMPLE
RECEIVED @ LAB:
-12-Q:::t-89
.'·r·
¿f
ug/g
none detected
none detected
none detected
none detected
none detected
non~Ldeteeteè.---..:..
-- ,
0.02
0.02
0.02
0.02
0.02
0.02
Benzene
Toluene
Etby 1 Benzene
p-Xylene .
m-Xy lene
o-Xylene
ug/g
ug/g
ug/g
ug/g
ug/g
ug/g
Total Pet.
Hydrocarbons'
"
none detected.
10.00
/
,-~----
TEST METHOD: TPH for Diesel by D.O. H. S. L. U . F . T Manual Method
(Carbon Disulfide Extraction). Individual constituents by
EPA Method 8020.
As Received Basis
Coruœnts :
TaI'AL PETROLEUM HYDROCARBONS: Qlantification of petroleum
bydrcx::arbons utilizing a diesel standard as outlined by the
California D.O. H. S. The petroleum bydrcx::arbons are in addition
to the constituents specifically defined.
California D.O.H.S. Cert. #102
By
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f^ ~JAAÞo.J Y\^ on/LJL.
Analyst,
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ENVlIIONIIENTAL
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LABORATORIES, INC.
, J. J. EGLIN, REG. CHEM. ENGR.
4100 PIERCE RD., BAKERSFIELD, CALIFORNiA 93308 PHONE 321-4911
CHEJlICAL ANALYSIS
PETROLEUM
B'I'X/l'PH DIESEL
Qla1i ty Control Data
McNabb Construction
7808 Olcott Ave
Bakersfield, CA 93308
Attention: Bryan McNabb
BTX Spike ill: 7991-2
,'!'PH Spike ill: 7622-21
Analysis Date: 13-üct-89,
Units: ugfg
.-......... "..' .:_,:..~:~::.:::.... ~_'. .QJality Control
,.....i;;;.:·~".....:;):~~<:':i;.:'~7s:~Hor~Lab- Nos~-8064-1J 8064-2 :'. ,.' ',_ ,-:
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One sample in twenty is selected as a representative matrix which is '.:.,/:,,_
spiked. The percentage recovery (% Rec) of the spike is a relative . ,," ,
measure of ·theaccuracy of the analysis. .The comparison of the spike '
with a duplicate spike is a measure of the relative precision of..the
. analysis. ":~:'~::~rr : '
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Cone. Cone. IÅ1p
in Spike Added to Spike Spike Spike
ConStituent Sample Spike %Rec %Rec RPD
-------------------------------------------------------------------- .",,'
Benzene 0.00 5.02 94.37 93.96 - 0.44
Toluene 0.00 5.16 105.49 105.15 0.32
"
Ethyl Benzene 0.00 5.01 97.51 96.40 1.14 'J
p-Xylene 0.00 5.06 100.79 99.07 1. 72
m-Xylene 0.00 5.01 103.59 101.94 1.61
.- .... "-.:..--.,. . ..~ .'
-........ o-Xylene 0.00 5.00 102.99 101.17 1.78
TPH Diesel 0.00 100.01 97.85 92.59 5.52
QCCorrments:
Spiked Sample Concentration - Sample Concentration
% Recovery = -------------------------------------~------------ X 100
(Concentration of Spike)
RPD (Relative Percent Difference) =
Spiked Sample Cone. - Spiked fuplicate Sample Cone.
---------------------------------------------------- X 100
(Average Concentration of Spikes)
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See Instructions on Back<. Page 6
and Front of Page 7
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Department of Heelth Services
Toxic Substances Control Division
Seeramento, California,
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18.
GENERATOR'S CERTIFICATION: I hereby dectare that the contenta of thla conalgnment are tully and accurately deacribed aÞove by proper shipping name
and are claaalfled. packed. marked, and labeled, and are in all reapecta in proper condition for tranaport by highway according to applicable international and
national government regulations.
If I am a large quantity generator, I certify that I have a program in place to reduce the volume and toxicity of waate g_rated to tile degree I have determined
to be economically practicable and that I have selected the practlcabla method of treatmenf, atorage, or disposal currently available to me which minimizes the
present and future threat to human health and the environment: OR. it , am a small quantity genarator. I have made a good faith effort to minimize my waate
generation and aelect the beef waste management method t~at ia available to me and that' can afford.
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8. Tranaporter 2 Acknowledgement of Receipt of Maleriala
Printed/Typed Name
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20. Facility Owner or Operator Cer1iflcatlon of ~t of hazardoua materlala covered by thla manifeat except sa noted In Item 18.
Printe /Typed Name Slgnatlll'll
· é77:
Monfh Oay Vee,
DHS 8022 A (1/88)
Do Not Write Below This line
."
GARY J. WICKS
Agency Director
(80S) 861-3502
....
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RESOURCE
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2700 M Street, Suite 300
Bakersfield. CA 93301
Telephone (80S) 861-3838
Telecopler (805) 861-3429
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STEVE McCALLEY
Director
AGENCY
I,
PERMIT FOR PERMANENT CLOSURE
PERMIT NUMBER A 1053-28
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FACILITY
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FAC][LITY NAME! ADDRESS:
OWNER(S) NAME! ADDRESS:
CONTRACTOR:
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TOSCO Corporation
5121 Stockdale Hwy
Bakersfield, CA
TOSCO Corporation
P. O. Box 2860
Bakersfield, CA
McNabb Construction Company
7808 Olcott Avenue
Bakersfield, CA 93308 ,"~
Phone: (805) 397-2311
License #474331
Phone: 399-4742
PERMIT FOR CLOSURE OF
PERMIT EXPIRES
Januarv 11. 1990
LOCATION
APPROVED BY
October 11. 1989
d~~
Laurel Funk
Hazardous Materials Specialist
1. TANK(S) AT ABOVE
APPROVAL DATE
. ....................................................... ..'.......................... .POS TON P REMIS ES.................. .................. ...... ............... .................
C(>NDITlONS AS FOLLOWS:
1. It is the responsibility of the Permittee to obtain permits which may be required by other regulatory agencies prior to beginning work. (i.e., City
Fire and Building Departments)
2. Permittee must notify the Hazardous Materials Management Program at (805) 861-3636 two working days orior to tank removal or abandonment
in place to arrange for required inspections(s).
3. Tank closure activities must be per Kern County Environmental Health and Fire Department approved methods as described in Handbook UT-
30.
4. It is the contractor's responsibility to know and adhere to all applicable laws regarding the handling, transportation or treatment of hazardous
materials.
5. The tank removal contractor must have a qualified company employee onsite supervising the tank removal. The employee must have tank removal
experience prior to working unsupervised.
6. If any contractors other than those listed on permit and permit application are to be utilized, prior approval must be granted by the soecialist
listed on the permit. Deviation from the submitted application is not allowed.
7. Soil Sampling:
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved from beneath the center of the tank at depths
of approximately two feet and six feet. .
b. Tank size greater than 1,000 to 10,000 gallons - a minimum of four samples must be retrieved one-third of the way in from the ends of
each tank at depths of approximately two feet and six feet.
c. T,ank size greater than 10,000 gallons - a minimum of six samples must be retrieved on-fourth of the way in from the ends of each tank
and beneath the center of each tank at depths of approximately two feet and six feet.
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PERMIT FOR PERMANENT CLOSURE
OF UNDERGROUND HAZARDOUS
SUBSTANCES STORAGE FÁCll..ITY
. PERMIT NUMBER A 1053-28
ADDENDUM
8. Soil Sampling (piping area):
A minimum of two samples must be retrieved at depths of approximately two feet and six feet for every 15 linear feet of pipe run and under the
dispenser area.
9. Soil Sample analysis:
a. All soil samples retrieved irom beneath gasoline (leaded/ unleaded) tanks and'appurtenances must be analyzed for benzene, toluene, xylene,
and total petroleum hydrocarbons (for gasoline).
b. .' All soil samples retrieved from beneath diesel tanks and appurtenances must be analyzed for total petroleum hydrocarbons (for diesel)
.. and benzene.
c. "~ All soil samples retrieved from beneath waste oil tanks and appurtenances must be analyzed for total organic halides, lead, oil and grease.
d. ' All soil samples retrieved from beneath crude oil tanks and appurtenances must be analyzed for oil and grease.
e. All soil samples retrieved from beneath tanks and appurtenances that contain unknown substances must be analyzed for a full range of
substances that may have been stored within the tank.
10. The following timetable lists pre-and post-tank removal requirements:
ACTMTY
DEADLINE
, ,
Complete permit application
submitted to Hazardous Materials Management Program
At least two weeks prior to closure
Notification to inspector listed on permit of date
and time of closure and soil sampling
Two working days
Transportation and tracking forms sent to Hazardous
Materials Management Program. All hazardous waste
manifests must be signed by the receiver of the
hazardous waste
No later than 5 working days for transportation and 14 working
days for the tracking form aftér tank removal
Sample analysis to Hazardous Materials Management
Program
No later than 3 working days after completion of analysis
RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regulations pertaining to underground storage tanks.
Representatives from this department respond to job sites during tank removals to ensure that the tanks are safe to remove/close and that the overall
job performance is consistent with permit requirements, applicable laws and safety standards. The following guidelines are offered to clarify the interests
and expectations for this department.
1. Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is the contractor's responsibility to know and abide by
CAL-QSHA regulations. The job foreman is responsible for the crew.and any subcontractors on the job. As a general rule workers are not
permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for their designed
function. For example, backhoe buckets are never substituted for ladders.
2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The job foreman is responsible for knowing and
abiding by the conditions of the permit. Deviation from the permit conditions may result in a stop-work order.
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardous-waste manifests and analyses
documentation is necessary for each site in order to close a case file or move it into mitigation. When contractors do not follow through on
necessary paperwork, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will
increase.
eM-&-
10ft b
DATE
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OFti~DER~R~U~ HAZ'AR~OUS~:;'::
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SUBSTANCES STORAGE FA'CILiTY'
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Bakltr.fJltld, CA 93301
. Tltlltphone (805) 861-3638 ,
'Tltlltcoplltr (805) 661-3429 ' "',
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GARY J. WICKS
¥ ·.i '. Agoncy Director
,,(.805) 861.3~2
", STEVE McCALLEY
,; ',,:/ DIrector
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TOsCa, Corporation .~.,
P. ()~ ~x.~6Q' .,
Bakersfield'CA
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CON1'R.t\CTOR:
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7808 Oloott A~~ue ' "
,B,akersfield.. CA mqs
""License #414331 ,
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PERMIT EXP~
Januarv 11..1990
"",APPROVALJ)þ,;œ, ,Octobér 11.1989'.<-'
APPROVEri"BY';:'(' ;/"z;(~'.~",'."
'''Laurel Funk. . .
'i .' :. ,<.. ,.l4zardous Materials Specialist'
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: .~...~.~... .....:........................ ...: :...... i........'..: ...... ~...... ....;... P OS TON PRE MIS ES. ":'.~.~'7.''''..':~':'...';'.~.:'''''~:'';''''~~':;' ...~.:.:...;'..~....
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It is the responsibility of the Permittee to obtain permits which may be required by other regulatòry a&eDcies.prior to beginning work. (i.e" City
, .,' Fire and Building Departments) ,. .' . ':' "", .' ,', ,"'. . . ~~,
2. ." Permittee must notifv the Hazardous Materials Management Program at (80S) 861-3636 two wÒrking dayS'prfÒr to tank removal or abandonment
'::'inplacetoarrangeforrequiredinspections(s). \ , ' "",'.. (': ;:' ',', " ,,:",',',',
3. ,Tank closure activities must be per Kern County Environmental Health and Fire Department approvêd metlÍÕds as described in Handbook UT-
, 30., . >, ... ,,' ,:,-':':';',' , 0,.... "..' ': :
4.', -",It is the contractor's resPonsibility to know and adhere to all applicable laws regarding the handling. tràns¡X)nation or treatment of hazardous
',. ":,:materials. ',' .,/:""... ,,':' ; " ",;, " . '. .', ..",:,'., . .'-;'::,; :.,~",'''''.:, "'" <": :,' '. ".,:::'~, .
s. ",,'The tank removal 'con i racior must have a qüalified company employee onsite supervising the tank re~óvaL"ne'employée must have tank removal
','experience prior to working unsupervised. . "'~':",.:~",.,',' ,'.' '''''>'; ',' "
If any contractors other than those listed on permit and permit application are to be utilized, poor appròVàJ must be granted by the specialist
listed on the permit. Deviation from the submitted application is not allowed. .. ':~:~~~":'}' "" ': ' " " ~. ,.' ~ "f-v.-: .~,
Soil Sampling: . . , ' , . ,. "'. ", '¡,...." ""." " '" ,: .
a. Tank size less than or equal to 1,000 gallons - a minimum of two samples must be retrieved Crom bC:neath the center of the tank at depths
of approximately two feet and six feet. ' . '
,.Tank siZe greater than 1,000 to 10,000 ganons - a minimum of. four samples must beretria:~ ~~~d of the way in Crom the, ~nds of
each tank at depths of approximately two feet and six feet.: :,.' /.'." '.' ';,' ,:; (:,;..'. .' :;.::, ¡),.;':" ,.,'. ,:",:: !:.ì';',
Tank size greater than 10,000 gaIlons - a minimum of six samples must be retrieved on'-Counh'(i tlièway in from the ends of each' tank
,", and beneath the center of each tank at depths of.approximately two feet and sixfeet. ' ." ',:i ,. .
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" . PERMIT FORPERMANENTCLoS'uRB.·
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,". SUBSTANCES STORAGE FACILITY!; I
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. . l', PERMIT NUMBER A 1053'728 ,; ,'. '
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Soil SampliD"g(piping area): " '< .: "..,; ,.'",., "/. i .....' ';J.':,'.:, , ~.".:..:., ,.':. ',', .' ';' "
A minimum oft",osamples mUst beretrievéd at depthS of approximatdy, two feët.a.nd1lix feëi for every IS linear feèiclÍpipe-run and únder:,the,
~~=p:;:'åiy~:' . ";,:.:' ".' ,', :'::.:<,~:' :'.,:' .. ,.,'. t··, ,·'..,~:'::·:!:,'i,..,;;::''.,/'·,i,f;,',~.:;:',.~,~':...~ ~"": ': ,'..' , .
;: 8. ':'r ,;;All soil sa~ples retrieved from beneath gasoli~eOeadt:d~~Dlea~~) ta~~,~!1~.~~p~rt~~ä~~ lÍlus~ ~ a~~!z~ f~r..be~~t:~è; i~~u,ént; !tyle.n~
, ,and total petroleum hydrocarbons (for gasoline). " '; .,' ~ ,,' ".';::. '.-.;,": " " '. '. < -.' -', r ':_ .,', , . . £
~i ' , "A!1'Soil.samples retrieved fron;¡ !:!eneath 4i~ tankS andappurtensncCs must be analy~ed for i~tal petioJeum,hydrocàr~ns (for diesel)
a~l:t'benzene.· '.' '\.,'" ''': ..,.'.'" .',,, " ': .
C. ' , Ä1l;~1 ~mp'les re~ri~Çd rrc;cn b¢nc:atJ.¡\w,áSfeoU. t~ai1d a~p.Í1C!e~an~ DÌ~¡'~ anålr~ f~' ~òt~OÌga~è: h.aIi~r I~d~ oil ,1U1dgrease..
d. All sc¡¡U !l8mpl~ fdoevedfrom ~th ~de:oU tan~ ~nøappurtt;:nances must ~a~yzed, fæ;;oU and ~", , '
:~.~. , 'A.l.l soi1:à8mpleSretrieved.from ))eneath tanks ÍlDd;àppurte~anc,es:that,~nt~n ~i1kD9w!l~~~ta~t¡Q m~tbea~yzed fOr a funrangeCltt
' ::,:; ,,;.~ub8tancestha~ .nay"ha~e~àt~œd wit~~~t~e:t~nk{, .:/'" , ~. .':" ., '.'."..', . ,.,"" .' ,"' " .
. Th~ r~IIø,WíD,g timet~bl~lists 'p~-al1d post-tank ~ova1'~iûrements:, .'
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COmplète permïtappficatioD'" .,."
submiued to Hazardous Materials.,Management Program"
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Notification to inspector 'listed on permit of date .' Two working days.'
a~d.time,of~l~ure,a.Dd,soÜsa.~pling:: ",'. .' ," ~,." '., '.
,Tfalisportationand tnièking faIms' sent tolh~o~. " . . " .Nolate(than ,5 wo:k)ng'da~ ~OÌ'.!DDSportatio~,and 14 ~orltini
Mat~als Managem~nt Program. ~ hazardous~~t!7),(" «..:~~;, ," ",days.f~r ~he tra.~~~gfl?l'JD aftc¡r..ia~,~ov8! ,
. manifests must be signed by the receiver of lheí:<~&l\J\Sl¡uL\£iûLV¡';~).~ ...'.' ,>., :<"f'" ,';..~, .',: '. .~ :"" ',. "'_"\, ._ "
hazardous waste.; .ò' ... ,'., " ; i"' {!,,'. '.,'
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Sample 'analys~io Hazardo\l$ Materials Management '. ~' No later tlian 3 ",orking ~åyi after cOmpletion of a'nalysiS
Program ,:",' , ,';" ,.', i' . '," " '/. " '.' . ,. ". ,...
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RECOMMENDATIONS/GUIDELINES FOR REMOVAL OF UNDERGROUND STORAGE TANKS
.'
This department is responsible for enforcing the Kern County Ordinance Code, Division 8 and state regula lions pertaining to ~nderground sto~~ge ianks.
Representatives from this department respond to job sites during tank removals to ensure that lhe tanks are safe to remove/close and that the ovenill
job performance is consistent with permit requiremenls, applicable laws and safety standards. The following guidelines are offered to clarify the interests
and expectations for this department. ' . . . '. ,¡ ; . ~'.
, .'.
~ ; :
I., Job site safety is one of our primary concerns. Excavations are inherently dangerous. It is lhe contractor's responsibility to know and abide b}'
CAL-OSHA regulations. The job foreman is responsible for the crew and any subcontractors on the job. 'As a general rule workers are not
.,. permitted in improperly sloped excavations or when unsafe conditions exist in the hole. Tools and equipment are to be used only for theii designed
" function. For example, backhoe buckets are never substituted for ladders. ,: ',;" ,',..>','.',.,,:'..., ','.." .,..,', . ',:", '....':\,:.':" ' " .
". . "
2. Properly licensed contractors are assumed to understand the requirements of the permit issued. The job fòréman is respÒnsible for knówi~g and
abiding by the conditions or the permit. Deviation from the permit conditions may result in a slop-work order." ,.'; :"~ _ ,:" ,., .
.,.\'.:,....
'. '.
3. Individual contractors will be held responsible for their post-removal paperwork. Tracking forms, hazardoùs-waste manifests and analyses
, , documentation ~ necessary for each site in order to close a case file or move it into mitigation. When contractors do nOl follow through on
. . necessary papei:work, an unmanageable backlog of incomplete cases results. If this continues, processing time for completing new closures will
'increase. ",.' , ". ,,:' q: ',,' .~> .. .',!' ,,; ',¡'~ '~', d' ';;~:" \'. ' ,,' ,I: ,:: <:,::,~ '. :.,1".. :,\j:,;,:,..:: "', ,
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This checklist· is provided to ensure that all
and that the Permittee has obtained all necessary
monitoring requirements.
PERMIT CHECKLIST 4IÞ
STðc/t-ÒIJLF lIte) y
Permit # Zgðo 2~C
necessary packet enclosures were received
equipment to implement the first phase of
Please complete this form and return to KCHD in the self-addressed envelope provided
within 30 days of receipt.
Check:
Yes No
~
1-
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A. The packet I received contained:
~ 1) Cover Letter~ Permit Checklist,~Interim Permit~ Phase I Interim Permit
Monitoring Requirements,- Information Sheet--(Agreement Between OWner and
Operator), Chapter 15 ~(KCOC #G-3941), -Explanation of Substance Codes.
Equipment Lists and Return Envelope.'-
2) Standard Inventory Control Monitoring Handbook #UT-10.
3) The Following Forms:
a) Inventory Recording Sheet"
b) Inventory Reconciliation Sheet with summary on reverse---
c) Trend Analysis Wor~sheet --
4) An Action Chart (~ post at facility)--
.
B. I have examin;d.f~~e information~on my Interim Permit, Phase I Monitoring
Requirements, and Information Sheet (Agreement between Owner and Operator), and
find owner I s name and address. tacili ty name and address, operator I s name and
address. substance codes. and number of tanks to be accurately listed (if "no"
is checked, note appropriate corrections on the back side ot this sheet).
c. I have the following required equipment (as described on page 6 of Handbook):
~1) Acceptable gauging instrument
~).ì~~¡!í~) "Striker plate(s)" in tank(s)
vll~~ 3) Water-finding paste
D. I have read the information on the enclosed "Information Sheet" pertaining to
Agreements between Owner and Operator and hereby state that the owner of this
facility is the operator (if "no" is checked. attach a copy of agreement between
owner and operator).
tV
E. I have enclosed a copy of Calibration Charts for all tanks at this facility (if
tanks are identical, one chart will suffice; label chart(s) with corresponding
tank numbers listed on permit).
_ Jl F.
As required on page 6 of Handbook #UT-lO, all meters at this facility have had
calibration checks within the last 30 days and were calibrated by a registered
device repairman if out of tolerance (all meter calibrations must be recorded on
"Meter Calibration Check Form" found in the Appendix of Handbook).
.µ G.
Standard Inventory Control Monitoring was started at this
with procedures described in Handbook #UT-lO.
Date Started ------ .
of Person Completing Chec/ilist, ~1 ~
Ti tle: ð¡:::-/"/ c.t:-~ G() /AJ/97~_
Date: 9- 2.¿ --¿-'
facility in accordance
Signature
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!!!!!!'.!!b J!U It:
PTD 02r50oó2.
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KERN COUNTY ENVIRONMENTAL HEALTH SERVICES DEPARTMENT
2700 aMa STREET, SUITE 300
BAKERSFIELD, CA 93301
(805) 861-3636
AP~lIC~TJON OAT!
, OP TANKS TO BE AB4NOON!D
LEHGTJI 0' PtPtNO TO AIWftION
THIS ~PPLICATIOH IS POR
APPLICATrON FOR PERMIT FOR PERMANENT
CLOSURE/ABANDONMENT OP UNDERGROUND
HAZARDOUS SUBSTANCES STORAGE PACrLITY
çkGEHOVAL. OR 0 A8AHOOHHEHT IN PUCE f /PILL OUT ~ APPLIC.LTION PER PACILr':'Y1
PHONE . IRURAL LO~TIOHS OHLYI
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CIIVUCJ.I. COMPOSITI011 OP ¡UTfIlI.U.S STOll ED
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!NPn""ATTOH "!91J!:~!! m! !!~ ~!!!~ !!! !1!!! ~!!~~ ll!!2!!! 1!!!!!!!.!!H!!! APPf.!CATTnN !.!!! !!!!!!! · .
·~·~;r:;iß".t f;- ." '" TO' .::,:c~:;¡;:~~".."'. om ~ ,,/ ß 9
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PAGE
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f .10/10/89;',' ' ,. ',,' '., .Invoice Nb~'. .1- ,:,' ·~3974. I',
1 4..07 pm., : ,KERN COUNTY PLANNING & DEV~LOPMENT."'~,;:' ' ,." " . '"
",:',::'¡: . ""'. . 2700'M' Street' ." .~,.' ," > ' :" ''< ""I"
1,','Bakersfie'd~' CA ,93301 Type of Or'der,-:":<C,W',.· I
t "..,J ". ..... ..., (805),861-2615, ',' "', , . ..' '''::'.';'. ..':...... L
't,~ ~'- ::~'-'...,~.~j'~~~~.: ~ ;;..:.~:. - ~~~.;.:.;; ~._-:~',-'~~.;. L_ ~,j ~ ~ -~- - ~~:...;..:.~.~i..:~_..; ~ .~~ ~·~~~~~~~:~;i..~~.jf~';-- 'f '..
1 CASH'RËGISTER ,; 'MCNABS"CONSTRUCTioN':; :" '.' H, '.':' I
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I _ ____'___ ___ _ _____ _ ~ ___________ ____ ___ ___ ___ _ _ ___ __.;.._~_____.:.. ___",;___._~ _.:.._~.:..,-__ _ I
I Customer P.O. # I Wtn Sy IOrder Date I Ship Date I ' Via " l,Terms 'I '
IH101089-2-4 I ELS 110/10/89 I 10/10/89 I INTI
1______---______1________1___________1___________1___-_____~______I___________I
Line Description Quantity Price ~nit Disc Total
1 TANK PLAN CHECK 1 100.00 E 100,00
I 170A
, I 2 TANK PLAN CHECK 1 100.00 E 100.00
170A
3 TANK PLAN CH ECK 100.00 E 100.00
170A
Order Total 300.00
Amount Due 300.00
Payment Made 8y Check 300.00
THANK YOU!
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Perm~t Ouest~onna~re
Normally, permits are sent to facility Owners but since !lany
Owners live outside Kern County, they !lay choose to have the peraits
sent to the Operators of the facility where they are to be posted.
PI ease fill in Per.i t . and check one of the following before'
returning this form with payment:
lor PERMIT. ~o" ~ <?C
Xl. Send all information to Owner at the address
listed on invoice (if OWner is different than
Operator, it will be Owner's responsibility
to provide Operator with pertinent
lnlor.aUon) .
2. Send all information to OWner at the
following corrected address:
3. Send all information to Operator:
Name:
Address:
(Operator can make copy of permit for
Owner) .
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1700 Flower Street
Bakersfield, California 93305
.Telephone (805) 861-3636
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KERN COUNTY HEALTH DEPARTMEI".
ENVIRONMENTAL HEALTH DIVISION tit '
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HEALTH OFFICER
Leon M Hebertson, M.D. " , .,.
',' <- '.'.' .', ._:f;:,...-.t~;..: ~'. . :'~t...;·i·:~r;í;·:.~~,~.:~;L:.~~~ ~;<:~:.'
',DIRECTOR OF ENVIRONMENTAL HEALÍ1i \';}i ;,'.,
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'1?ERMIT#:,2 aoo;2sþ
"'~~[~;~:st:~~~~?~¡~i~£~;~~~;r; " " ":~fI1i:;' , , .vy;¡{
,,'7I S SUED :', :Ÿ;Jl",; '98€.
. ~~)~;"~'~E X1? :I: RE S :"Y;1uLY'I/f1989
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';"" ..."y, 5121 STOCKDALE HWY '·.·:~,i".c::~":,Ci; ,·,-,...;"'it.....~'i'i.J'" O'tBOX "2860 ''",
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ALL INTERIM REQUIREMENTS ESTABLISHED BY. THE PERMITTING
' AUTHORITY MUST BE MET DURING THE TERM OF THIS PE~IT < Jc '",;,""",., '.'
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DATE PERMIT MAILED:
SEP 22 1986
DATE PERMIT CHEcK LIST RETURNED:
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Division ot Environmental H~ct1
1700 F1~wer Street, sakerSf4IÞd, CA 93305
APPLICATION FOR PERMIT TO OPERATE .ERGROJND
HAZARDOUS SUBSTANCES STORAGE F'ACILIT'i
"' ~ of App~i:ation' (ch~~): .' .
ONeW Facllltý Df'odlflcation of Fac1l1ty .ExistiD;J .Facility DTransfer of OWnership
AppllCatlOr;
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3ttf
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Bmergency 24-Hour Contact (name, area code, phone): Days
Nights
Facility Name ,.o~~o \ ~ No. of Tan~ fHù€
Type of Business (check): GaSO me Statlon Other (describe) 1:>t~a.. NtA. "EW~P\"OP.
Is Tank(s) Located on an Agricultural Farm? Dyes I3No . 5'50 G-w:\\.~.
Is Tank(s) Used Primarily for hjricultural Purposes? Dyes !S'No
Facility Address '5\:1\ ~~I<.~c:\LËr - HW~ Nearest Cross St. (t_Pl~'~OIUJ'A
T R SEC ' (R al Locations O1ly) .. ..' .,~," .
Owner '\O~~ ~Ç>OA.~"rH'" >, . Contact Person" L¡..,6,\."'ò:-;:Û&\A\.-.«ü",,-, 0
Mdress -PO ßo')C ;¿tgt.O ßt\\l.E'1t!t"'a,:o ~~Zip ~ 330 ß Tele¡X1one'- .BQ1- .2.'S30
Operator~ _ ~AME' _ :tfl 1.' - Contact Person- -
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B. water to Facility Provided by C-\T'f 0" 'Be..",_"'t.S~'\!\.b Depth to: Groundwater
Soil Olaracteristics at Facility '~' -
Basis for Soil Type and Grourowater Dep Detenninations
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c. Contractor
Address
proposed Starti1'Y:J Date
Worker's Compensation Certification I
. CA Contractor's License No::') "
Zip Telephone
proposed Completion Date
Insurer
. ,
D. If This Permit Is For Modification Of An Existi1'Y:J Facility, BrieflY,Describe Modifications
Proposed
E. Tank(s) Store (check all that apply):
Tank ! Waste Product Motor Vehicle Unleaded Regular ' premillD Diesel Wast~
Fuel Oil
OtJ€ 0 -
0 0 0 B 0 œ 8
0 0 8 0 B 0
0 '0 0 8 8 B
0 0 0 0 0
F. Chanical CanPJsi tion of Materials Stored (not necessary for motor vehicle fuels)
Tank t Chemical Stored (non-conmercial name)' CAS . (if knowr.) Chemical Previously Stored
(if different)
G. Transfer of Ownership
Date of Trãnsfer PreY ious OWner
Previous Facility Name
I, accept fully all obligations of Permit No. issued to
I unqerstand that the PennittiB} Authority may review and
modify or terminate the transfer of the Pennit to Operate this underground storage
facility upon receiving this completed form.
This form has been canpleted under penalty of
true and corrl(~ _
~i9r.ature ~ cf( a.~lLJ
petj ury and to the best of my knowledge is
/\¿cle tfß .m.~te 9-3tJ-f!;"
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TANK. !!. .. ,_ (FI LL OUT SEPARATE FORM __ EACH TANK)
FOR ~ SECTION, CHECK ALL APPROPR~ BOXES
Tank is: DVaulted hn-Vaulted DI:buble-Wall .Single-Wall
Tank Mater ia 1
DCarbon Steel 0 Stainless Steel 0 Polyvinyl Chloride 0 Fiberglass~lad Steel
o FiberglaSS-R:infor_Ced.. ' P:,aS.tiC 0 c~nc, re~e ~ ~~i.,nlJl(\ 0 Bronze OUnknown
~ther (descnbe) __~,$TE~'L d~ '.".'., '~ii'~..-
primary Containment ,.
Date Installed Thickness (Inches) Capacity (Gallons) Manufacturer
~(!"1)'" \~t:l \~ c:,:tJ~Gt: 550 t'\ep,fl..~ ,,....AUK~.~Jm
Tank Seconda ry Conta U1ment . . . c...c .
ODouble-Wall--r:JSynthetic Liner DLined Vault .None OUnknown .
[JOther (describe): Manufacturer:
DMaterial Thickness (Inches) Capacity (Gals.)
5. Tank Interior Lining - -
DRubber OAlkyd D~xy DPhenolic o Glass ,0 Clay '~lined,.01k\~own ;'" ",,"'~'__'
OOther (describe) : .'
6. Tank Corrosion Protection ' " .', " ,.:'" ., "~,·"'.(.;"\,~¡;,i'\,!,.í,:·'~¡,,;, .: .
-rrGalvanized -:rJFiberglass-Clad DPol~thylene Wral? OVi~l Wrappi~ . ~::"'Ä '; ,...
OTar or Asphalt Dunknown DNone .Other (descnbe): ~At.~ ~PM~ hhA~
Cathodic protection: ~ne DIrnpressed OJrrent System LlSacrific al e System '.:
Describe System & Equipnent: ,: ";~:, .. ,::-,,'" ,';'"" "Pi'.
7. Leak Detection, Monitoring, and. Interception ' .,' '. "
a. Tank: OVisual (vaulted tanks only) CfGrowrlwater ~nitorin;J Well (s)
o Vadose Zone Moni torirg Well (s) 0 u-Tube Without Uner
o U-'l'ube with Canpat~ble Liner Directi~ Flow to Monitorin;¡ Well(s) *
o Vapor Detector* 0 Liquid level Sensor 0 Condœtivit¥ Sensor* , .
o Pressure Sensor in Annular Space of Double Wall Tank
o Liquid Retrieval & Inspection Fran U-Tube, Moni tori~ Well or Annular Space
o Daily GaU3i~ & Inventory Reconciliation 0 Periodic Tightness Testi~
o None . unknown 0 Other.
b. Pipi~: DFlow-Restrictin;J Leak Detector(s) for Pressurized Pipi~"
o Moni torirg SlIt\p wi th Raceway 0 Sealed Concrete Raceway
o Half-cut Canpatible Pipe Raceway 0 Synthetic Liner Raceway 0 None
.UnknOWl D Other '
*Descr ibe Make , Model:
Tank Tightness
Has Tins Tank Been Tightness Tested? BYes Otb Ounknown
Date of Last Tightness Test q-g~ Results of Test '3~/U~
Test Name ?~euAH\'f'H~ -, ~stir¥J Canpany' ~.i ';¡':-jL~~ð
Tank Repair
Tank Repai red? DYes ENo Ounknown
Date(s) of Repair(s)
Describe Repairs
OVerfill Protection
"Operator Fills, Controls, & Visually Monitors Level
OTape Float Galr3e DFloat Vent Valves D Auto Shut- Off Controls
Deapacitance SensOr DSealed Fill Box DNone 'OunknOWl
OOther: List Make , Model For Above Devices
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11. Piping
a. underground Pipil'¥J: DYes DNa .Unknown Material
Thickness (inches) Diameter Manufacturer
OPressure DSuction OGravity Approximate Lergth of pipe RLn
b. Undergr-ound Piping Corrosion Protection:
DGalvanized DFiberglass-Clad DImpressed CUrrent OSacrificial Anode
Opolyethylene Wrap DElectrical Isolation DVinyl Wrap OTar or Asphalt
.Unknown DNone DOther (descrioo):
c. Undergrol1J"Xj Piping, Secondary Contairmef)t';'
ODouble-Wall DSynthetic Liner Systerf'¡ DNone OUnknown
[]Other (describe):